NPIMap

Organization Active NPI

Staggers, Heare, & Whiteman, P.a.

Doing business as Progressive Physical Therapy & Rehabilitation Center

  • Physical Therapist
  • Keyser, WV
National Provider Identifier
1447284633
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STAGGERS, HEARE, & WHITEMAN, P.A.
Doing business as
Progressive Physical Therapy & Rehabilitation Center
Practice address
196 N Tornado Way Ste 2
Keyser, WV 26726-6006
Phone
(304) 788-7816
Fax
(304) 788-7863
NPI assigned
Jul 11, 2006
Last updated
Feb 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie A Ross
Title
Office Manager
Phone
(301) 729-3485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

196 N Tornado Way Ste 2
Keyser, WV 26726-6006

Mailing address

196 N Tornado Way Ste 2
Keyser, WV 26726-6006
Phone (304) 788-7816

Other identifiers 4

IdentifierTypeStateIssuer
001739581OtherWVMT. STATE BCBS
3810003741MedicaidWV
S986STOtherMDCAREFIRST BCBS
222830OtherMAMSI/UNITED HEALTHCARE

Other names 1

  • Progressive Physical Therapy & Rehabilitation Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address propt@twrwifi.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040327000441 WV Part B Supplier - Clinic/Group Practice 3678465259 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Keyser, WV; Romney, WV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Staggers Heare Whiteman3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11801 Upper Potomac Indstrl Park St SW
Cumberland, MD 21502
Phone (301) 729-3485

514 New Creek Hwy
Ste 2
Keyser, WV 26726
Phone (304) 597-3577

22278 Northwestern Pike
Romney, WV 26757
Phone (304) 822-6024

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1447284633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 N TORNADO WAY STE 2",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267266006",
            "telephone_number": "304-788-7816",
            "fax_number": "304-788-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 N TORNADO WAY STE 2",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267266006",
            "telephone_number": "304-788-7816",
            "fax_number": "304-788-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGGERS, HEARE, & WHITEMAN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-729-3485"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATE BCBS",
            "identifier": "001739581",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003741",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "S986ST",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/UNITED HEALTHCARE",
            "identifier": "222830",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "propt@twrwifi.net",
            "affiliation": "N",
            "address_1": "514 New Creek Hwy Ste 2",
            "city": "Keyser",
            "state": "WV",
            "country_code": "US",
            "postal_code": "267269526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Progressive Physical Therapy & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.